Marian Freedman is a freelance writer.
Moxifloxacin is safe for treating severe refractory M pneumoniae pneumonia
Investigators asked the children’s parents about the history of musculoskeletal-related disease, observed the children’s gait, and performed physical examinations.
Exome sequencing should be used for diagnosing cerebral palsy
A systematic review and meta-analysis found that such sequencing indeed has an equivalent high genetic diagnostic yield in cerebral palsy, which supports including this neurodevelopmental disorder among those for which diagnostic exome sequencing should be used.
Is ADHD associated with shorter-than-expected height?
To assess the role of familial factors, investigators analyzed data for a family-based group created from another Swedish national register that included 833,172 individuals without ADHD with different levels of relatedness to the individuals with ADHD and a group of matched controls.
You may not need a specialist to diagnose ASD
The 20 children in the investigation had been diagnosed with ASD by PCPs who were trained using the ECHO (Extension for Community Healthcare Outcomes) Autism Screening Tool for Autism in Toddlers and Young Children (STAT).
Epiploic appendagitis may be causing that abdominal pain
The authors noted that right-sided EA is often misdiagnosed as acute appendicitis, and that steady but sharp and nonmigratory pain in either of the lower abdominal quadrants should raise suspicion of EA.
Early peanut introduction without routine testing seems safe for all children
The authors noted that there is evidence that recommending early introduction of peanut without prior testing is safe and effective in increasing early peanut introduction to infants, even those at high risk.
Oral vs intravenous acetaminophen: Which is better for closing a patent ductus arteriosus?
In the 18 studies that assessed the efficacy of closing a patent ductus arteriosus after 1 course of acetaminophen treatments, the results demonstrated that both oral and IV preparations were more effective than placebo.
A better acne treatment may be coming
After 12 weeks of treatment, 55.8% of participants receiving IDP-126 experienced at least a 70% reduction from baseline in inflammatory and noninflammatory lesions
How can we decrease distress during facial laceration repair?
"I am impressed with how far we have come in being able to suture much more humanely and in how well so many of these youngsters did without sedation," said Jon Matthew Farber, MD.
Clinical hypnosis is effective against functional abdominal pain disorders
Providers who refer patients for clinical hypnosis must ensure that the chosen hypnotherapist has appropriate knowledge about the patient’s gastrointestinal condition and has conducted clinical hypnosis for it.
What tool is best for evaluating pain in children who can’t self-report?
Assessing pain in nonverbal patients remains very difficult, including being able to distinguish it from “behavior” (eg, self-stimulation), says Jon Matthew Farber, MD.
Study finds link between COVID-19 vaccination and vulvar ulcers
Patients first reported systemic symptoms, such as fevers, headache, and myalgias; vulvar symptoms, which included vulvar pain and dysuria, typically developed 2 days after vaccination and peaked within 5 days.
First-line use of biologics may lead to favorable outcomes in sJIA
In choosing a treatment plan, many health care providers reported that they initiate treatment of systemic juvenile idiopathic arthritis (sJIA) with a biologic agent most of the time.
Fluoxetine helps refractory nocturnal enuresis but not for long
A 12-week study in Egypt of the efficacy of fluoxetine (a selective serotonin reuptake inhibitor) in children with treatment-refractory nocturnal enuresis (NE) found that though the treatment achieved a good initial response, it was not sustainable.
Vitamin D supplementation may aid in preventing migraine
In children who are subject to migraine attacks, vitamin D supplementation may be an effective and safe adjunctive prophylactic therapy to topiramate, results of a study in Saudi Arabia showed.
Are some patients predisposed to avascular necrosis after hip surgery?
Although avascular necrosis (AVN) is believed to be an iatrogenic complication following treatment of developmental dysplasia of the hip, an investigation in China found 2 characteristics associated with the condition: the likelihood of AVN increases with both the grade of dislocation and of underdevelopment of the ossific nucleus.
Lisdexamfetamine is effective in preschoolers with ADHD
Lisdexamfetamine dimesaylate was associated with reduced ADHD symptoms in children aged 4 to 5 years.
Need more sleep? Digital solutions show promise
A digital sleep strategy may reduce sleep problems for children.
Type 1 diabetes and low bone mineral density are not a common combination
A study found similar bone mineral density between children with and without type 1 diabetes.
Long-term melatonin use in children: Is it safe?
Many children continue to use melatonin for years after being prescribed the medication, according to a recent study.
Prevalence of SBI in children with sickle cell disease continues to decline
With instances of SBI lowering in children with sickle cell disease, authors of a recent study recommended continued management through empirical antibiotics.
Ankle arthritis is not specific to JIA diagnosis
In a recent study, rate of ankle arthritis did not differ significantly between children with JIA and children without JIA.
A renal anomaly? Look for a Müllerian anomaly as well
A retrospective study found that postmenarchal women with a renal anomaly were also at risk of having a Müllerian anomaly.
Treatments alter the natural progression of SMA
Treatment of the various types of spinal muscular atrophy with approved therapies resulted in an array of improvements, according to a review of 22 studies.
Do infant weight gain patterns affect adult risk of coronary heart disease?
Based on an investigation of associations between patterns of growth in infant weight and adult-onset coronary heart disease, the answer seems to be no.
Study expands data on global RSV burden
For the first time, investigators broke down into narrow age bands morbidity and mortality estimates for respiratory syncytial virus (RSV).
Does that child really have an antibiotic allergy?
Most children outgrow an adverse drug reaction to oral antibiotics, according to an Icelandic study.
Teens find that adhering to STI treatment isn’t easy
A survey saw that of teenagers who sought care in the ED and were prescribed outpatient treatment, fewer than half who received an STI diagnosis filled their prescriptions.
Delaying surgery for Hirschsprung disease may be risky
Results of a study in patients with Hirschsprung disease for whom surgery was anticipated but had not yet been performed found that 17% developed complications.
Does diet really play a role in acne?
For years, teenagers have been told to avoid certain foods to reduce acne. A review article examines the evidence.
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